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Table 1 Characteristics of three high-risk opioid groups, patients with any opioid and the whole study sample

From: Healthcare costs and utilization associated with high-risk prescription opioid use: a retrospective cohort study

 

Chronic users

Concomitant users

Opioid disorders

Patients with any opioid use

All patients

 Number of study subjects

2778

9200

1798

191,405

893,835

 Age

47.22 (10.60)

49.47 (9.64)

38.59 (12.90)

44.16 (12.64)

42.43 (13.09)

 Female

47.16%

65.76%

42.83%

55.14%

49.52%

Concurrent medical utilization in 2012

 Total cost

30,486 (57,670)

28,818 (61,406)

29,097 (50,380)

14,005 (34,238)

5456 (19,116)

 Medical cost

19,275 (53,908)

22,195 (57,710)

23,662 (49,056)

11,888 (32,241)

4321 (17,632)

 Pharmacy cost

11,211 (15,483)

6623 (15,638)

5435 (8119)

2117 (8120)

1135 (5357)

 Opioid medication cost

6169 (11,315)

1393 (5560)

2494 (4158)

169 (1622)

36 (754)

 1+ Hospitalization

15.95%

17.59%

29.14%

9.28%

2.98%

 1+ Emergency visit

29.84%

33.55%

40.71%

27.76%

12.36%

Prospective medical utilization in 2013

 Total cost

31,045 (69,822)

27,040 (58,601)

26,061 (61,520)

11,176 (37,069)

5972 (23,001)

 Medical cost

19,663 (65808)

20,008 (54,226)

20,758 (60,462)

8896 (34,402)

4739 (21,325)

 Pharmacy cost

11,382 (17,539)

7033 (18,156)

5302 (7968)

2280 (10,617)

1233 (6530)

  Opioid medication cost

6079 (13,170)

1459 (6506)

2416 (4606)

174 (1842)

40 (857)

 1+ Hospitalization

14.25%

15.03%

17.96%

6.10%

3.03%

 1+ Emergency visit

27.54%

31.07%

34.32%

18.61%

12.01%

Concurrent morbidity in 2012

 Count of ADGs

8.40 (4.34)

9.40 (4.22)

8.73 (4.36)

6.55 (3.78)

4.12 (3.49)

 Count of RxMGs

8.85 (4.53)

10.31 (4.13)

7.77 (4.51)

5.98 (3.41)

3.00 (3.09)

 Count of chronic conditions

4.00 (3.11)

4.43 (3.13)

4.11 (2.95)

2.26 (2.40)

1.31 (1.85)

 Count of active ingredients

13.10 (8.16)

15.84 (8.09)

11.65 (8.37)

8.42 (5.79)

4.03 (4.64)

 Concurrent risk score

4.67 (6.81)

4.95 (6.96)

5.16 (6.77)

2.49 (4.33)

1.14 (2.66)

Prospective morbidity in 2013

 Count of ADGs

8.25 (4.52)

9.13 (4.45)

7.73 (4.63)

5.86 (4.01)

4.18 (3.58)

 Count of RxMGs

8.76 (4.64)

10.02 (4.41)

7.15 (4.65)

5.07 (3.92)

3.12 (3.19)

 Count of chronic conditions

4.03 (3.26)

4.45 (3.26)

3.64 (3.11)

2.20 (2.48)

1.41 (1.96)

 Count of active ingredients

12.75 (8.29)

15.17 (8.38)

10.42 (8.12)

7.13 (6.34)

4.18 (4.81)

 Concurrent risk score

4.75 (7.42)

4.88 (7.10)

3.99 (6.22)

2.17 (4.33)

1.22 (2.95)

Overlap between three high-risk opioid groups in 2012

 Chronic users

–

13.33%

29.48%

1.45%

0.31%

 Concomitant users

44.13%

–

25.80%

4.81%

1.03%

 Opioid disorders

19.08%

5.04%

–

0.94%

0.27%

Magnitude of high-risk use in 2012

115.72 (85.23) / Days

150.72 (102.72) / Days

3.74 (3.29) / Months

–

–

Count of high-risk user membership in 2012

 Count of membership

1.63 (0.60)

1.18 (0.43)

1.55 (0.66)

0.07 (0.30)

0.02 (0.14)

 0

–

–

–

93.87%

98.62%

 1

43.05%

83.52%

54.39%

5.15%

1.17%

 2

50.68%

14.59%

35.93%

0.89%

0.19%

 3

6.26%

1.89%

9.68%

0.09%

0.02%